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Subependymal pseudocysts in the neonate.
1Department of Paediatrics, University of Padova, Italy.
European Journal of Pediatrics
|February 1, 1989
Summary
Serial ultrasounds tracked subependymal pseudocysts (SP) in neonates. Most SP resolved by 9 months, with no developmental issues in isolated cases, but sequelae occurred when SP accompanied other brain abnormalities.
Area of Science:
- Neonatal Neurology
- Pediatric Radiology
- Neurodevelopmental Pediatrics
Background:
- Subependymal pseudocysts (SP) are a known finding in neonates.
- Early detection and monitoring are crucial for potential neurodevelopmental outcomes.
Purpose of the Study:
- To evaluate the natural history and neurodevelopmental impact of subependymal pseudocysts (SP) in neonates.
- To assess the efficacy of serial ultrasound examinations in monitoring SP.
Main Methods:
- Serial anterior fontanelle ultrasound examinations were performed in 19 neonates.
- High-resolution real-time sector scanner utilized for imaging.
- Neurodevelopmental assessments were conducted during follow-up.
Main Results:
- Subependymal pseudocysts (SP) were detected and followed over time.
- In 13 cases, SP resolved by 9 months of age.
- Neonates with isolated SP showed no neurodevelopmental abnormalities; 5 of 7 with associated cerebral abnormalities developed sequelae.
Conclusions:
- Serial ultrasound is effective for monitoring neonatal subependymal pseudocysts (SP).
- Isolated SP typically resolve without impacting neurodevelopment.
- Associated cerebral abnormalities significantly increase the risk of neurodevelopmental sequelae.